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North Mississippi Medical Center

Pediatrics in Tupelo, MS. Organization (NPI-2).

NPI number1902381908
StatusActive
Last updated in NPPESJan 22, 2025

Details

NPI
1902381908
Entity type
Organization (NPI-2)
Legal business name
North Mississippi Medical Center
Organization subpart
No
Enumeration date
Sep 26, 2018
Certification date
Jan 22, 2025
Last updated
Jan 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes

Other names

  • Nmmc Health Providers (Doing Business As)

Practice location

830 S Gloster St
Tupelo, MS 38801-4934

Phone 662-377-3000

Mailing address

808 Varsity Dr
Tupelo, MS 38801-4613

Phone 800-453-7536

Authorized official

Bruce Toppin
Corporate Secretary
6623774229

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